HomeMy WebLinkAbout1620 BRUNDAGE LANE (3)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
�►
Prevention Services
B_. r R S .r I D
900 Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
o ARTM
Tel.: (661) 326 -3979.
NO OF EMPLOYEES.
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
Cc) I c 5er \). c (>N
GISBI I v
❑
ADDRESS
PHONE NO.
NO OF EMPLOYEES.
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
4
�: a Sectlon�1Busmess °Plan and Inventory Program
❑ ROUTINE 4b COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
�b
❑
APPROPRIATE PERMIT ON HAND
P42
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
jg
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
60
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
-750 7� �...1� �, b
N�
w b Z CO�{'a r,r -.»� r (�� ...5'� Q rc.
1
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
%YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / S ift of Site /Station # Bu ' ess Site / Responsi arty (Please Print) .
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05